Post by bob09 on Mar 10, 2009 18:44:22 GMT -5
Date: 4/25/09 & 4/26/09 Cost $130.00 per Wrestler
Camp session times will be:
Saturday 9:00 – 11:30 // 12:45 – 3:00 // 3:15 – 4:15 (hard wrestling)
Sunday 9:00 – 11:30 // 12:45 – 3:00 // 3:15 – 4:15 (hard wrestling)
(Some sessions may run a bit longer on the last day if I feel we need more time.)
Age requirements:
No wrestlers under the age of 10 should be allowed UNLESS they have at least 2 years experience under their belts. If they do not, then we ask that you have a coach standing over them during the training so that we don’t take too much of our coaching time away from the other wrestlers. We have had many 10 year olds that do GREAT! So you can use your best judgment on this one. However, should you order one of our Beginner’s work shops, younger wrestlers will be fine.
I will teach the kids in steps, then break out and take EVERY wrestler through the steps 2-3 times each. At this time, the other coaches are asked to watch. Once I turn the kids loose, the coaches can get their hands on the kids that they feel need extra.
Call Coach Bob Muscari to pre register 1-877-287-0270
Or E-Mail Coach Don Gordon @
dgordon06@comcast.net
Where: Frontier High School
When: April 25th & 26th
Call 1-877-287-0270 to Pre register
Only 40 Wrestlers will be accepted.
Purler Wrestling Academy Registration / Profile Form
Name_____________________________ Age_____ DOB___________ Height_________ Weight___________
Parent(s) names _________________________ home phone #s ________________ work/cell__________________ Emergency Number____________________________
Address ________________________________/_______________________________/______________________
Email address _______________________
# of years of experience including this year__________ Grade________ High School you do/will attend_____________
What do you like most about wrestling?______________________________________________
List all accomplishments:_________________________________________________________
Record this year______________________
Record last year______________________
List 3 strengths you have_________________________________________________________
List two weaknesses you have_____________________________________________________
How can I help you the most______________________________________________________
Do you plan to train year-round? _____ If not, how many months per year will you train?_________
Cost: $115.00
All Applications must be paid in full prior to camp. Camp is limited to the 1st
40 wrestlers that pay.
Payment being made by Cash, Check or Credit Card should be made out to
Franklin County Wrestling Club.
Mail to FCWC 21 Mohawk Trail PMB 280 Greenfield Ma 01301
Check #_____________________
Master Card or Visa Only
Card Holders Name_______________________________________
Account Number__________________________________________
Card Type____________ Expiration Date_______/_______/_______
3 Digit Verification Number__________________________________
Register by Master Card or Visa by Calling 1-877-287-0270
Waiver and Release Form / Medical Information
I fully understand that the Purler Wrestling, Inc staff is not physicians or medical practitioners of any kind. With the above in mind, I hereby release the Purler Wrestling, Inc staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the Purler Wrestling, Inc staff to call a doctor and to seek medical help, including transportation by a Purler Wrestling, Inc staff member and / or it’s representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Purler Wrestling, Inc staff deem this to be necessary.
Parent or Guardian Signature: _________________________________
Date: ____ / ____ / ____
We, the staff of Purler Wrestling, Inc recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of wrestling. Students may suffer injuries; minor, serious, or catastrophic in nature or even death in rare cases. Wrestling, tumbling and conditioning exercises can be dangerous and can lead to injury!
Parents should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and the coach’s instructions.
Purler Wrestling, Inc, its coaches and other staff members, will not accept responsibility for injuries sustained by any student, parent, guardian, relative or friends during the course of wrestling, tumbling, conditioning or other training methods associated with the sport of wrestling, or open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate or while traveling to or from the workout sessions or wrestling-related events.
With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Purler Wrestling, Inc. I, my executors or other representatives wave and release all rights and claims for damages that I or my child may have against Purler Wrestling, Inc and or its representatives whether paid or volunteer.
I also understand that it is the parent’s responsibility to warn the child about the dangers of wrestling and injury. The parent should warn the child according to what the parent feels is appropriate. Purler Wrestling, Inc will only warn the child through “Safety Messages” and our teaching style and progressions.
Parent or Guardian Signature: _________________________________ Date: ____ / ____ / _
Medical conditions:
Please list below any medical concerns regarding your child/children that the Purler Wrestling, Inc staff should be aware of: _____________________________________________________________________________
*The parent or guardian is responsible for sending the wrestler to Purler Wrestling, Inc events with their required medications, inhalers, etc. If unprepared, your child/children will not be allowed to participate in any Purler Wrestling, Inc events.
Medical Insurance Company and Policy # _____________________________________________
* You must have Medical Insurance at all times in order to begin or continue participating in any Purler Wrestling, Inc events.
All information I have provided on this application is accurate.
Parent or Guardian Signature: _________________________________ Date: ____ / ____ / ___
Camp session times will be:
Saturday 9:00 – 11:30 // 12:45 – 3:00 // 3:15 – 4:15 (hard wrestling)
Sunday 9:00 – 11:30 // 12:45 – 3:00 // 3:15 – 4:15 (hard wrestling)
(Some sessions may run a bit longer on the last day if I feel we need more time.)
Age requirements:
No wrestlers under the age of 10 should be allowed UNLESS they have at least 2 years experience under their belts. If they do not, then we ask that you have a coach standing over them during the training so that we don’t take too much of our coaching time away from the other wrestlers. We have had many 10 year olds that do GREAT! So you can use your best judgment on this one. However, should you order one of our Beginner’s work shops, younger wrestlers will be fine.
I will teach the kids in steps, then break out and take EVERY wrestler through the steps 2-3 times each. At this time, the other coaches are asked to watch. Once I turn the kids loose, the coaches can get their hands on the kids that they feel need extra.
Call Coach Bob Muscari to pre register 1-877-287-0270
Or E-Mail Coach Don Gordon @
dgordon06@comcast.net
Where: Frontier High School
When: April 25th & 26th
Call 1-877-287-0270 to Pre register
Only 40 Wrestlers will be accepted.
Purler Wrestling Academy Registration / Profile Form
Name_____________________________ Age_____ DOB___________ Height_________ Weight___________
Parent(s) names _________________________ home phone #s ________________ work/cell__________________ Emergency Number____________________________
Address ________________________________/_______________________________/______________________
Email address _______________________
# of years of experience including this year__________ Grade________ High School you do/will attend_____________
What do you like most about wrestling?______________________________________________
List all accomplishments:_________________________________________________________
Record this year______________________
Record last year______________________
List 3 strengths you have_________________________________________________________
List two weaknesses you have_____________________________________________________
How can I help you the most______________________________________________________
Do you plan to train year-round? _____ If not, how many months per year will you train?_________
Cost: $115.00
All Applications must be paid in full prior to camp. Camp is limited to the 1st
40 wrestlers that pay.
Payment being made by Cash, Check or Credit Card should be made out to
Franklin County Wrestling Club.
Mail to FCWC 21 Mohawk Trail PMB 280 Greenfield Ma 01301
Check #_____________________
Master Card or Visa Only
Card Holders Name_______________________________________
Account Number__________________________________________
Card Type____________ Expiration Date_______/_______/_______
3 Digit Verification Number__________________________________
Register by Master Card or Visa by Calling 1-877-287-0270
Waiver and Release Form / Medical Information
I fully understand that the Purler Wrestling, Inc staff is not physicians or medical practitioners of any kind. With the above in mind, I hereby release the Purler Wrestling, Inc staff to render temporary first aid to my child or children in the event of any injury or illness, and if deemed necessary by the Purler Wrestling, Inc staff to call a doctor and to seek medical help, including transportation by a Purler Wrestling, Inc staff member and / or it’s representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Purler Wrestling, Inc staff deem this to be necessary.
Parent or Guardian Signature: _________________________________
Date: ____ / ____ / ____
We, the staff of Purler Wrestling, Inc recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of wrestling. Students may suffer injuries; minor, serious, or catastrophic in nature or even death in rare cases. Wrestling, tumbling and conditioning exercises can be dangerous and can lead to injury!
Parents should make their children aware of the possibility of injury and encourage their children to follow all the safety rules and the coach’s instructions.
Purler Wrestling, Inc, its coaches and other staff members, will not accept responsibility for injuries sustained by any student, parent, guardian, relative or friends during the course of wrestling, tumbling, conditioning or other training methods associated with the sport of wrestling, or open workouts, or in the course of any exhibition, competition, or clinic in which he or she may participate or while traveling to or from the workout sessions or wrestling-related events.
With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Purler Wrestling, Inc. I, my executors or other representatives wave and release all rights and claims for damages that I or my child may have against Purler Wrestling, Inc and or its representatives whether paid or volunteer.
I also understand that it is the parent’s responsibility to warn the child about the dangers of wrestling and injury. The parent should warn the child according to what the parent feels is appropriate. Purler Wrestling, Inc will only warn the child through “Safety Messages” and our teaching style and progressions.
Parent or Guardian Signature: _________________________________ Date: ____ / ____ / _
Medical conditions:
Please list below any medical concerns regarding your child/children that the Purler Wrestling, Inc staff should be aware of: _____________________________________________________________________________
*The parent or guardian is responsible for sending the wrestler to Purler Wrestling, Inc events with their required medications, inhalers, etc. If unprepared, your child/children will not be allowed to participate in any Purler Wrestling, Inc events.
Medical Insurance Company and Policy # _____________________________________________
* You must have Medical Insurance at all times in order to begin or continue participating in any Purler Wrestling, Inc events.
All information I have provided on this application is accurate.
Parent or Guardian Signature: _________________________________ Date: ____ / ____ / ___